Injection procedure to cause erection
Medicare pricing data for 3,589 providers across 49 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection procedure to cause erection (HCPCS code 54235) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $81.74, but hospitals typically charge $294.94 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $81.74, your out-of-pocket cost would be approximately $16.35. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $61.26 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $96 | $369 | 131 | 626 | +17.0% |
| District of Columbia | $94 | $243 | 9 | 64 | +15.1% |
| Hawaii | $93 | $229 | 5 | 11 | +13.4% |
| Maryland | $92 | $415 | 83 | 418 | +12.8% |
| New York | $91 | $420 | 241 | 1,405 | +11.2% |
| Puerto Rico | $90 | $137 | 6 | 20 | +9.7% |
| California | $89 | $350 | 309 | 1,790 | +8.7% |
| Delaware | $88 | $240 | 11 | 50 | +7.9% |
| Wyoming | $88 | $242 | 4 | 15 | +7.8% |
| Florida | $86 | $274 | 393 | 2,040 | +5.5% |
| Massachusetts | $85 | $321 | 86 | 420 | +3.9% |
| Connecticut | $84 | $382 | 50 | 218 | +2.5% |
| Pennsylvania | $83 | $241 | 118 | 366 | +1.7% |
| Nevada | $82 | $210 | 18 | 83 | -0.1% |
| Colorado | $81 | $267 | 78 | 296 | -1.4% |
| Oklahoma | $80 | $209 | 56 | 209 | -2.0% |
| Michigan | $80 | $209 | 102 | 348 | -2.0% |
| Georgia | $80 | $291 | 176 | 773 | -2.2% |
| Illinois | $79 | $357 | 123 | 548 | -2.9% |
| South Carolina | $79 | $250 | 68 | 437 | -3.5% |
| Washington | $78 | $248 | 44 | 146 | -4.6% |
| Virginia | $78 | $251 | 83 | 523 | -4.7% |
| Arizona | $77 | $212 | 105 | 526 | -5.3% |
| Texas | $77 | $256 | 271 | 1,430 | -5.6% |
| Montana | $76 | $167 | 16 | 47 | -6.5% |
| New Hampshire | $76 | $516 | 12 | 60 | -6.7% |
| South Dakota | $76 | $284 | 5 | 21 | -7.0% |
| Indiana | $76 | $217 | 60 | 265 | -7.5% |
| Louisiana | $76 | $216 | 45 | 155 | -7.6% |
| Oregon | $75 | $260 | 22 | 65 | -7.9% |
| Missouri | $75 | $260 | 76 | 341 | -7.9% |
| Wisconsin | $75 | $443 | 42 | 98 | -8.7% |
| Ohio | $74 | $259 | 101 | 367 | -9.2% |
| Mississippi | $74 | $201 | 23 | 109 | -9.4% |
| Kentucky | $74 | $203 | 55 | 196 | -9.5% |
| Minnesota | $74 | $339 | 33 | 214 | -9.9% |
| Utah | $74 | $200 | 34 | 109 | -10.0% |
| Alabama | $73 | $182 | 56 | 331 | -11.2% |
| New Mexico | $72 | $233 | 9 | 28 | -11.5% |
| Nebraska | $72 | $248 | 12 | 36 | -12.4% |
| Tennessee | $71 | $230 | 97 | 461 | -12.7% |
| Kansas | $70 | $454 | 28 | 116 | -13.8% |
| Idaho | $70 | $174 | 13 | 28 | -14.1% |
| North Carolina | $69 | $234 | 129 | 415 | -15.7% |
| Maine | $69 | $235 | 8 | 12 | -15.7% |
| Arkansas | $68 | $223 | 38 | 108 | -16.9% |
| West Virginia | $64 | $247 | 9 | 19 | -22.3% |
| Iowa | $63 | $423 | 22 | 63 | -23.1% |
| North Dakota | $54 | $189 | 10 | 22 | -34.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber